Page 4 - Group Wellness Benefit

Group Accident Insurance

Health Screening Benefit

This benefit helps you pay for part of the expense of preventive medical tests you may
normally have each year. The benefit allows a maximum of 1 health screening test per
covered person per calendar year.

Tests that qualify:

Blood test for triglycerides Flexible sigmoidoscopy
Bone marrow testing Hemoccult stool analysis

Breast ultrasound Mammography

CA 15-3 (blood test for breast cancer) Pap smear

CA 125 (blood test for ovarian cancer) PSA (blood test for prostate cancer)
Serum cholesterol test to determine level
Carotid Doppler
of HDL and LDL
Serum protein electrophoresis
CEA (blood test for colon cancer)
(blood test for myeloma)
Chest x-ray Skin cancer biopsy

Colonoscopy Stress test on a bicycle or treadmill

Echocardiogram (ECHO) Thermography
Group Accident Health Screening Benefit
Electrocardiogram (EKG, ECG) ThinPrep pap test

Fasting blood glucose test Virtual colonoscopy

The covered person must incur a charge and the certificate must be in force for benefits to be
payable. A 30-day waiting period must be met. For cost and complete details, see your Colonial Life
benefits counselor. Applicable to policy number GACC1.0-P and certificate number GACC1.0-C
(including state abbreviations where used, for example: GACC1.0-C-TX). Coverage may vary by
state and may not be available in all states. This is not an insurance contract and only the actual
policy provisions will control.

Colonial Life
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Columbia, South Carolina 29210 Colonial Life products are underwritten by Colonial Life & Accident
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